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<h1 >肝功</h1>
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</div><div class="lemma-summary" label-module="lemmaSummary">
<div class="para" label-module="para">肝功是通过各种生化试验方法检测与肝脏功能代谢有关的各项指标以反映肝脏功能基本状况。</div>
</div>
<div class="configModuleBanner">
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<dl class="basicInfo-block basicInfo-left">
<dt class="basicInfo-item name">中文名</dt>
<dd class="basicInfo-item value">
肝功
</dd>
<dt class="basicInfo-item name">1</dt>
<dd class="basicInfo-item value">
指肝脏的生理功能
</dd>
<dt class="basicInfo-item name">2</dt>
<dd class="basicInfo-item value">
指医院检验科里的医学检验项目
</dd>
</dl><dl class="basicInfo-block basicInfo-right">
<dt class="basicInfo-item name">检查项目</dt>
<dd class="basicInfo-item value">
反映肝细胞损伤的试验
</dd>
<dt class="basicInfo-item name">检查项目</dt>
<dd class="basicInfo-item value">
甘胆酸(CG)
</dd>
<dt class="basicInfo-item name">应&nbsp;&nbsp;&nbsp;&nbsp;用</dt>
<dd class="basicInfo-item value">
医学
</dd>
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<h2 class="block-title">目录</h2>
<div class="catalog-list column-4">
<ol>
<li class="level1">
<span class="index">1</span>
<span class="text"><a href="#1">简介</a></span>
</li>
<li class="level1">
<span class="index">2</span>
<span class="text"><a href="#2">定义</a></span>
</li>
<li class="level1">
<span class="index">3</span>
<span class="text"><a href="#3">检查项目</a></span>
</li>
<li class="level1">
<span class="index">4</span>
<span class="text"><a href="#4">检查最新项目</a></span>
</li>
<li class="level1">
<span class="index">5</span>
<span class="text"><a href="#5">检查指标</a></span>
</li>
</ol><ol><li class="level1">
<span class="index">6</span>
<span class="text"><a href="#6">正常值</a></span>
</li>
<li class="level1">
<span class="index">7</span>
<span class="text"><a href="#7">注意事项</a></span>
</li>
<li class="level1">
<span class="index">8</span>
<span class="text"><a href="#8">检查方法</a></span>
</li>
<li class="level1">
<span class="index">9</span>
<span class="text"><a href="#9">症状</a></span>
</li>
<li class="level1">
<span class="index">10</span>
<span class="text"><a href="#10">受损原因</a></span>
</li>
</ol><ol><li class="level1">
<span class="index">11</span>
<span class="text"><a href="#11">检查费用</a></span>
</li>
<li class="level1">
<span class="index">12</span>
<span class="text"><a href="#12">注意问题</a></span>
</li>
<li class="level1">
<span class="index">13</span>
<span class="text"><a href="#13">检查</a></span>
</li>
<li class="level1">
<span class="index">14</span>
<span class="text"><a href="#14">月经期</a></span>
</li>
<li class="level1">
<span class="index">15</span>
<span class="text"><a href="#15">健康体检</a></span>
</li>
</ol><ol><li class="level1">
<span class="index">16</span>
<span class="text"><a href="#16">慢性乙肝</a></span>
</li>
<li class="level1">
<span class="index">17</span>
<span class="text"><a href="#17">综合评估</a></span>
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<h2 class="title-text"><span class="title-prefix">肝功</span>简介</h2>
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<div class="para" label-module="para">肝功<sup class="sup--normal" data-sup="1">
[1]</sup><a class="sup-anchor" name="ref_[1]_1369578">&nbsp;</a>
有两层意思，一是指肝脏的生理功能，即解毒功能、代谢功能、分泌<a target=_blank href="/item/%E8%83%86%E6%B1%81">胆汁</a>、免疫防御功能等；另一方面是指医院<a target=_blank href="/item/%E6%A3%80%E9%AA%8C%E7%A7%91">检验科</a>里的<a target=_blank href="/item/%E5%8C%BB%E5%AD%A6%E6%A3%80%E9%AA%8C">医学检验</a>项目，包括<a target=_blank href="/item/%E8%83%86%E7%BA%A2%E7%B4%A0">胆红素</a>、<a target=_blank href="/item/%E7%99%BD%E8%9B%8B%E7%99%BD">白蛋白</a>、<a target=_blank href="/item/%E7%90%83%E8%9B%8B%E7%99%BD">球蛋白</a>、转氨脢、r-<a target=_blank href="/item/%E8%B0%B7%E6%B0%A8%E9%85%B0%E8%BD%AC%E8%82%BD%E9%85%B6">谷氨酰转肽酶</a>等等。</div><div class="anchor-list">
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<h2 class="title-text"><span class="title-prefix">肝功</span>定义</h2>
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<div class="para" label-module="para">由于肝脏功能多样，所以肝功能检查方法很多。与<sup class="sup--normal" data-sup="2">
[2]</sup><a class="sup-anchor" name="ref_[2]_1369578">&nbsp;</a>
有关蛋白质检查有<a target=_blank href="/item/%E8%A1%80%E6%B8%85%E6%80%BB%E8%9B%8B%E7%99%BD">血清总蛋白</a>、白蛋白与球蛋白之比、血清浊度和絮状试验及<a target=_blank href="/item/%E7%94%B2%E8%83%8E%E8%9B%8B%E7%99%BD">甲胎蛋白</a>检查等；与肝病有关的血清酶类有<a target=_blank href="/item/%E8%B0%B7%E4%B8%99%E8%BD%AC%E6%B0%A8%E9%85%B6">谷丙转氨酶</a>、谷草转氨酶、碱性磷酸酶及乳酸脱氢酶等；与生物转化及排泄有关的试验有磺溴酞钠滞留试验等；与胆色素代谢有关的试验，如胆红素定量及<a target=_blank href="/item/%E5%B0%BF%E4%B8%89%E8%83%86">尿三胆</a>试验等，结合病史和症状选择一组或其中几项检查，有助于肝功能的诊断及评价。</div><div class="anchor-list">
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<h2 class="title-text"><span class="title-prefix">肝功</span>检查项目</h2>
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<div class="para" label-module="para"><div class="lemma-picture text-pic layout-right" style="width:182px; float: right;">
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<img  class="lazy-img" src="" data-src="https://gss2.bdstatic.com/9fo3dSag_xI4khGkpoWK1HF6hhy/baike/s%3D220/sign=07578d0049540923ae69647ca259d1dc/9345d688d43f87942e243b0dd21b0ef41bd53a3d.jpg"  alt="" style="width:182px;height:220px;"/>
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</div>提到肝功能人们马上就会想到转氨酶，甚至有人认为转氨酶就是肝功能，其实肝功能的种类很多，反映肝功能的试验已达700余种，新的试验还在不断地发展和建立，主要包括四大类。</div>
<div class="para" label-module="para">①反映<a target=_blank href="/item/%E8%82%9D%E7%BB%86%E8%83%9E%E6%8D%9F%E4%BC%A4">肝细胞损伤</a>的试验：包括血清酶类及<a target=_blank href="/item/%E8%A1%80%E6%B8%85%E9%93%81">血清铁</a>等，以血清酶检测常用，如<a target=_blank href="/item/%E8%B0%B7%E4%B8%99%E8%BD%AC%E6%B0%A8%E9%85%B6">谷丙转氨酶</a>（ ALT）、<a target=_blank href="/item/%E8%B0%B7%E8%8D%89%E8%BD%AC%E6%B0%A8%E9%85%B6">谷草转氨酶</a>（AST）、<a target=_blank href="/item/%E7%A2%B1%E6%80%A7%E7%A3%B7%E9%85%B8%E9%85%B6">碱性磷酸酶</a>（ALP）、<a target=_blank href="/item/%CE%B3-%E8%B0%B7%E6%B0%A8%E9%85%B0%E8%BD%AC%E8%82%BD%E9%85%B6">γ-谷氨酰转肽酶</a>（γ-GT）等等。临床表明，各种酶试验中，以ALT、AST能敏感地提示肝细胞损伤及其<a target=_blank href="/item/%E6%8D%9F%E4%BC%A4%E7%A8%8B%E5%BA%A6">损伤程度</a>，反应急性肝细胞损伤以ALT最敏感，反映其损伤程度则AST较敏感。在<a target=_blank href="/item/%E6%80%A5%E6%80%A7%E8%82%9D%E7%82%8E">急性肝炎</a>恢复期，虽然ALT正常而γ-GT 持续升高，提示肝炎慢性化。<a target=_blank href="/item/%E6%85%A2%E6%80%A7%E8%82%9D%E7%82%8E">慢性肝炎</a>γ～GT持续不降常提示病变活动。</div>
<div class="para" label-module="para">②反映肝脏排泄功能的试验：检测肝脏对某些内源性（胆红素、胆汁酸等）或外源性（染料、药物等）高摄取物排泄清除能力，临床的检测胆红素定量的常用，<a target=_blank href="/item/%E6%80%BB%E8%83%86%E7%BA%A2%E7%B4%A0">总胆红素</a>大于17.1μmd/ L为<a target=_blank href="/item/%E9%BB%84%E7%96%B8">黄疸</a>病例，如果胆红素进行性上升并伴ALT下降，叫做<a target=_blank href="/item/%E9%85%B6%E8%83%86%E5%88%86%E7%A6%BB">酶胆分离</a>，提示病情加重，有转为重症肝炎的可能。</div>
<div class="para" label-module="para">③反映肝脏贮备功能的试验：血浆的蛋白（ALb）和凝血酶原时间（PT）是通过检测肝脏合成功能以反映其贮备能力的常规试验。ALb下降提示蛋白合成能力减弱，PT延长提示各种凝血因子的合成能力降低。</div>
<div class="para" label-module="para">④反映肝脏间质变化的试验：<a target=_blank href="/item/%E8%A1%80%E6%B8%85%E8%9B%8B%E7%99%BD%E7%94%B5%E6%B3%B3">血清蛋白电泳</a>已基本取代了絮浊反应，γ-球蛋白增高的程度可评价慢性肝病的演变和预后，提示枯否氏细胞功能减退，不能清除血循环中内源性或肠源性<a target=_blank href="/item/%E6%8A%97%E5%8E%9F%E7%89%A9%E8%B4%A8">抗原物质</a>。此外，透明质酸、板层素、III型前胶原肽和IV型胶原的血清含量，可反映肝脏内皮细胞、贮脂细胞和成纤维细胞的变化，与肝纤维化和肝硬化密切相关。</div>
<div class="para" label-module="para">特点</div>
<div class="para" label-module="para">1.谷丙酶主要分布在肝细胞的周边和胆管细胞，当肝细胞或胆管有急性炎症时，大量渗漏到血液中，所以急性肝胆炎症血清谷丙酶的水平最高；</div>
<div class="para" label-module="para">2.谷草酶只有1/5存在于肝细胞浆中，约有4/5在线粒体（线粒体是细胞内管理氧化和能量的细胞器，你可把它想像是一个车间）。线粒体损伤时谷草酶明显升高，反映肝细胞病变的程度，所以肝硬化时，谷草酶会超过谷丙酶。许多器官组织都有谷草酶，如心肌、心脏、��脏、胰腺、骨骼肌等，所以谷草酶升高不一定是肝病；</div>
<div class="para" label-module="para">3.碱性磷酸酶存在于肝外更多，孕妇增高来自胎盘；儿童和老人此酶升高，显然与骨骼的改变相关；</div>
<div class="para" label-module="para">4.转肽酶是胆汁淤滞最灵敏的血清酶，在胆管和胆囊炎症损伤时转肽酶升高超过转氨酶。<sup class="sup--normal" data-sup="3">
[3]</sup><a class="sup-anchor" name="ref_[3]_1369578">&nbsp;</a>
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<h2 class="title-text"><span class="title-prefix">肝功</span>检查最新项目</h2>
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<div class="para" label-module="para">有关部门新增五项肝功能检查最新项目，具体如下：</div>
<div class="para" label-module="para"><b>1、甘胆酸(CG)：</b>当肝细胞受损或胆汁淤滞时，血液中CG含量就明显增高，反映肝细胞的损害比临床上常用的ALT等更敏感，能早期发现轻度肝损害，对区别慢性肝炎病情严重程度有帮助。</div>
<div class="para" label-module="para"><b>2、铁蛋白(SF)：</b>在肝内合成并储存，肝细胞<a target=_blank href="/item/%E7%82%8E%E7%97%87%E5%8F%8D%E5%BA%94">炎症反应</a>可使SF合成增加，肝细胞变性坏死可使SF释入血中，SF上升程度与肝细胞受损轻重呈平行关系，但在严重底蛋白血症、缺铁性贫血可明显降低。</div>
<div class="para" label-module="para"><b>3、<a target=_blank href="/item/%E5%89%8D%E7%99%BD%E8%9B%8B%E7%99%BD">前白蛋白</a>(PA)：</b>对早期发现重症肝炎及慢性肝损害有一定意义。病愈重值愈低。</div>
<div class="para" label-module="para"><b>4、转铁蛋白(TF)：</b>是肝脏合成的一种糖蛋白，主要功能是运转铁。急性肝炎时TF升高，慢性肝炎、肝硬化则可低。其他多种感染时TF降低，而缺铁性贫血和妊娠末期TF升高。</div>
<div class="para" label-module="para"><b>5、<a target=_blank href="/item/%E6%80%BB%E8%83%86%E6%B1%81%E9%85%B8">总胆汁酸</a>(TBA)：</b>是肝排泄的主要有机阴离子，其代谢情况主要受肝脏控制，当肝功能损害时，其升高往往比胆红素早而明显。因此能更敏感地反映肝损害。</div><div class="anchor-list">
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<h2 class="title-text"><span class="title-prefix">肝功</span>检查指标</h2>
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<div class="para" label-module="para">通常所说的肝功能指标包括转氨酶、蛋白、胆红素、甲胎蛋白等，但是通常所说的肝功五项指的是谷丙转氨酶、谷草转氨酶、总胆红素、直接胆红素和间接胆红素。</div>
<div class="para" label-module="para">1、谷丙转氨酶（ALT）：谷丙转氨酶主要存在于肝细胞细胞质中。正常值是0~40，偏高时说明肝脏损伤。</div>
<div class="para" label-module="para">2、谷草转氨酶（AST）：主要存在于肝细胞线粒体中。正常值是0~40，偏高时说明肝脏受损，可能是由肝脏疾病引起，也有可能是由酗酒、服药、过度劳累等原因引起。</div>
<div class="para" label-module="para">3、总胆红素（TBil）：包括直接胆红素和间接胆红素。正常值是1,7~17,1umol/l,偏高时易发生黄疸症状。</div>
<div class="para" label-module="para">4、间接胆红素（IBil）：在肝脏中由间接胆红素转变，从胆管排出。正常值是1,7~13,7umol/l,偏高时说明肝脏病变或胆道受阻。</div>
<div class="para" label-module="para">5、直接胆红素（DBil）：直接胆红素是红细胞死亡或破坏时，有血红蛋白释放到血液中。正常值是1,7~7umol/l,偏高时说明肝脏病变或红细胞遭破坏。</div>
<div class="para" label-module="para">肝功五项中任何一项出现异常都说明肝功能异常<sup class="sup--normal" data-sup="4">
[4]</sup><a class="sup-anchor" name="ref_[4]_1369578">&nbsp;</a>
，此时患者应做进一步检查，查出肝功异常的原因，并对症治疗。</div><div class="anchor-list">
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<h2 class="title-text"><span class="title-prefix">肝功</span>正常值</h2>
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<div class="para" label-module="para">肝脏是人体物质代谢的中心器官，其功能的好坏严重影响到血液及尿液中的成分。换句话说，如果肝脏的生理功能发生损害，血液或尿液就会发生变化。因此，经过检查便能判断肝脏功能的好坏，这就叫<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>。肝功能检查指标很多，了解肝功能正常值范围才能判断肝脏是否健康。</div>
<div class="para" label-module="para">关于<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%AD%A3%E5%B8%B8%E5%80%BC">肝功能正常值</a>范围，比较常用的肝功能正常值范围及临床意义如下：</div>
<div class="para" label-module="para">一、<a target=_blank href="/item/%E6%80%BB%E8%9B%8B%E7%99%BD">总蛋白</a>(TP)、白蛋白(A)、球蛋白(G)：TP正常值范围为60-80克/L，A为40-55克/L，G为20-30克/L，A/G为1.5-2.5：1。慢性肝炎、肝硬化时常出现白蛋白偏低而球蛋白偏高，使A/G比例倒置。</div>
<div class="para" label-module="para">二、<a target=_blank href="/item/%E6%80%BB%E8%83%86%E5%9B%BA%E9%86%87">总胆固醇</a>(Ch)及胆固醇酯(cbE)：可了解肝病时脂质代谢障碍情况，阻塞性黄疸时Ch可增加，<a target=_blank href="/item/%E8%84%82%E8%82%AA%E8%82%9D">脂肪肝</a>时也可能增加，如严重肝脏损害，总胆固醇和胆固醇酯均可下降。</div>
<div class="para" label-module="para">三、<a target=_blank href="/item/%E8%B0%B7%E4%B8%99%E8%BD%AC%E6%B0%A8%E9%85%B6">谷丙转氨酶</a>(ALT)：参考值为小于50单位，是诊断肝细胞实质损害的主要项目，其高低往往与病情轻重相平行。在<a target=_blank href="/item/%E6%80%A5%E6%80%A7%E8%82%9D%E7%82%8E">急性肝炎</a>及慢性肝炎与肝硬化活动，ALT均可升高。但ALT缺乏特异性，许多肝疾和肝外疾患均可升高，另外，ALT活性变化与肝脏病理组织改变缺乏一致性，���的严重肝损患者ALT并不升高。相关推荐：慢性肝炎能根治吗</div>
<div class="para" label-module="para">四、谷草转氨酶(AST)：前者位于细胞浆，后者位于细胞线粒体中。AST升高的意义在诊断肝炎方面与ALT相似，在一般情况下，其升高幅度不及ALT，如果AST值高于ALT，说明<a target=_blank href="/item/%E8%82%9D%E7%BB%86%E8%83%9E%E6%8D%9F%E4%BC%A4">肝细胞损伤</a>、坏死的程度比较严重。如果测定其同功酶则意义更大，轻度肝损时仅有ASTs升高，而重度损害则ASTm明显升高。</div>
<div class="para" label-module="para">五、血清<a target=_blank href="/item/%E6%80%BB%E8%83%86%E7%BA%A2%E8%B4%A8">总胆红质</a>和直接胆红质(Bc)：肝病时出现<a target=_blank href="/item/%E9%BB%84%E7%96%B8">黄疸</a>，TB和Bc均可不同程度升高，正常值TB为2-20umol/L，Bc小于3.4umol/L，如Bc明显升高，提示为梗阻性黄疸。</div>
<div class="para" label-module="para">六、碱性磷酸酶(ALP)：正常参与值为30-90u/L。由三种以上同功酶组成，即肝脏型、肠型(含量极微)及胎盘型(仅见于中后期孕妇)，还有一部分来自骨骼。ALP经由胆道排出。因此，肝脏疾患出现排泄功能障碍，胆道疾患，骨骼疾患(如成骨肉瘤、转移性骨瘤)均可使ALP上升。</div>
<div class="para" label-module="para">七、<a target=_blank href="/item/%E8%B0%B7%E6%B0%A8%E9%85%B0%E8%BD%AC%E7%A7%BB%E9%85%B6">谷氨酰转移酶</a>(r-GT)：健康人血清中r-GT水平甚低(小于40单位)，主要来自肝脏，少许由肾、胰、小肠产生。r-GT在反映<a target=_blank href="/item/%E8%82%9D%E7%BB%86%E8%83%9E">肝细胞</a>坏死损害方面不及ALT，但在<a target=_blank href="/item/%E9%BB%84%E7%96%B8">黄疸</a>鉴别方面有一定意义，肝脏内排泄不畅(肝内梗阻)和肝外梗阻(如<a target=_blank href="/item/%E8%83%86%E9%81%93%E7%B3%BB%E7%BB%9F">胆道系统</a>阻塞)以及<a target=_blank href="/item/%E8%82%9D%E7%A1%AC%E5%8C%96">肝硬化</a>、<a target=_blank href="/item/%E4%B8%AD%E6%AF%92%E6%80%A7%E8%82%9D%E7%97%85">中毒性肝病</a>、脂肪肝、肝肿瘤均可导致r谷氨酰转肽酶偏高。</div><div class="anchor-list">
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<a name="注意事项" class="lemma-anchor " ></a>
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<h2 class="title-text"><span class="title-prefix">肝功</span>注意事项</h2>
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<div class="para" label-module="para">肝功检验必须空腹，空腹时间一般为8-12小时，对于初次检验肝功者，尤应如此。</div>
<div class="para" label-module="para">肝病患者在进行抽血检查前一天最好禁酒类，这是因为肝功检查多项内容测定值与饮食有一定关系，如饮酒易使某些血清酶值升高，进食油腻食物后可以使血脂增高等。因此，肝病患者在做检查时一定要注意空腹，以保证能做出科学的诊断结果。</div>
<div class="para" label-module="para">肝功检验前一天晚上最好不要吃太油腻、太辛辣的食物，此类食物可使血脂试验明显增加，因此需在抽血前10小时禁止食用含脂肪类多的食物为佳。</div>
<div class="para" label-module="para">肝功检验前若患有感冒，最好在感冒治愈后7天再做检查，因为感冒可能影响肝功检测结果。</div>
<div class="para" label-module="para">检验前宜进食一些清淡的食物；最好不要吃含有丰富胡萝卜素、叶黄素的食物，因为可能会使血清呈黄色，影响<a target=_blank href="/item/%E9%BB%84%E7%96%B8%E6%8C%87%E6%95%B0">黄疸指数</a>测定结果。</div>
<div class="para" label-module="para">检验前最好不饮酒；禁服某些药物，因为服用药物可能会影响肝功检验的准确性。</div>
<div class="para" label-module="para">肝功检验是衡量肝脏是否有肝细胞坏死或炎症存在的重要检查，感染了乙肝一定不可忽视定时检查。</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>是需要空腹的，最好不要吃任何东西。因为正常人体内含有一定量的γ，β球蛋白，与化学试剂结合后会产生沉淀。白蛋白和球蛋白会防止沉淀的产生。一般的肝炎病人白蛋白偏少，球蛋白偏高。(临床上白蛋白减少，球蛋白升高作为检查是否为肝炎的标准。)正常人吃饭后，血中的成分就会改变，化验时也会产生沉淀。特别是一些高蛋白，高脂肪的食物，产生的沉淀更多。因此说，化验肝功能要保证空腹。<sup class="sup--normal" data-sup="5">
[5]</sup><a class="sup-anchor" name="ref_[5]_1369578">&nbsp;</a>
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<h2 class="title-text"><span class="title-prefix">肝功</span>检查方法</h2>
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<div class="para" label-module="para">1、当临床怀疑肝炎或已确诊为急性肝炎需进一步了解病变的程度时，可检测GPT（<a target=_blank href="/item/%E8%B0%B7%E4%B8%99%E8%BD%AC%E6%B0%A8%E9%85%B6">谷丙转氨酶</a>）或<a target=_blank href="/item/%E5%A4%8D%E6%96%B9%E7%A2%98%E8%AF%95%E9%AA%8C">复方碘试验</a>。<a target=_blank href="/item/%E5%B0%BF%E4%B8%89%E8%83%86">尿三胆</a>试验、血清<a target=_blank href="/item/%E5%87%A1%E7%99%BB%E7%99%BD%E8%AF%95%E9%AA%8C">凡登白试验</a>和胆红素定量。如为慢性肝炎，除以上试验外还可检测A/G（白蛋白与球蛋白比值），必要时检测<a target=_blank href="/item/%E8%A1%80%E6%B8%85%E8%9B%8B%E7%99%BD%E7%94%B5%E6%B3%B3">血清蛋白电泳</a>。如病人无黄疸、且其他肝功能正常而不能排除轻度肝脏损害者，可检测碱性磷酸酶。对<a target=_blank href="/item/%E5%8E%9F%E5%8F%91%E6%80%A7%E8%82%9D%E7%99%8C">原发性肝癌</a>，除一般的<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E8%AF%95%E9%AA%8C">肝功能试验</a>外，可进行AFP（<a target=_blank href="/item/%E7%94%B2%E8%83%8E%E8%9B%8B%E7%99%BD">甲胎蛋白</a>）、γ- GT（γ-谷氨酸<a target=_blank href="/item/%E8%BD%AC%E8%82%BD%E9%85%B6">转肽酶</a>）、AKP等测定以帮助临床诊断。在各项较大手术前，一般检查血清GPT、A/G，必要时检测血浆<a target=_blank href="/item/%E5%87%9D%E8%A1%80%E9%85%B6%E5%8E%9F%E6%97%B6%E9%97%B4">凝血酶原时间</a>以了解肝脏情况，做好术前准备。</div>
<div class="para" label-module="para">2、根据病情选择某几项肝功能试验并定期复查作动态观察，可在一定程度上反映治疗���否有效。如急性肝炎病情好转时，GPT由增高恢复到正常；如GPT长期波动或持续升高，则提示肝炎有转慢趋势等。某些肝脏功能试验有肝外疾病时，检查结果也可见异常，如肾病综合征、恶性肿瘤等导致血浆<a target=_blank href="/item/%E6%80%BB%E8%9B%8B%E7%99%BD">总蛋白</a>和白蛋白减少；<a target=_blank href="/item/%E7%94%B2%E7%8A%B6%E8%85%BA%E6%9C%BA%E8%83%BD%E4%BA%A2%E8%BF%9B">甲状腺机能亢进</a>等可有血清胆固醇减低。而某些药物、外伤等，均可导致血清<a target=_blank href="/item/%E8%BD%AC%E6%B0%A8%E9%85%B6">转氨酶</a>升高。因此在选择肝脏功能试验及分析结果时应结合临床具体分析。当临床怀疑肝炎或已确诊为急性肝炎需进一步了解病变的程度时，可检测GPT（<a target=_blank href="/item/%E8%B0%B7%E4%B8%99%E8%BD%AC%E6%B0%A8%E9%85%B6">谷丙转氨酶</a>）或<a target=_blank href="/item/%E5%A4%8D%E6%96%B9%E7%A2%98%E8%AF%95%E9%AA%8C">复方碘试验</a>。尿三胆试验、血清凡登白试验和胆红素定量。如为慢性肝炎，除以上试验外还可检测A/G（白蛋白与球蛋白比值），必要时检测血清蛋白电泳。如病人无黄疸、且其他肝功能正常而不能排除轻度肝脏损害者，可检测碱性磷酸酶。对原发性肝癌，除一般的肝功能试验外，可进行AFP（甲胎蛋白）、γ- GT（γ-谷氨酸转肽酶）、AKP等测定以帮助临床诊断。在各项较大手术前，一般检查血清GPT、A/G，必要时检测血浆凝血酶原时间以了解肝脏情况，做好术前准备。</div>
<div class="para" label-module="para">3、根据病情选择某几项<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E8%AF%95%E9%AA%8C">肝功能试验</a>并定期复查作动态观察，可在一定程度上反映治疗是否有效。如急性肝炎病情好转时，GPT由增高恢复到正常；如GPT长期波动或持续升高，则提示肝炎有转慢趋势等。某些肝脏功能试验有肝外疾病时，检查结果也可见异常，如肾病综合征、恶性肿瘤等导致血浆总蛋白和白蛋白减少；甲状腺机能亢进等可有血清胆固醇减低。而某些药物、外伤等，均可导致血清转氨酶升高。因此在选择肝脏功能试验及分析结果时应结合临床具体分析。</div><div class="anchor-list">
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<h2 class="title-text"><span class="title-prefix">肝功</span>症状</h2>
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<div class="para" label-module="para">1、消化功能异常，致食欲减退、厌油腻、恶心、呕吐、腹泄或便秘等症状。</div>
<div class="para" label-module="para">2、肝细胞损害，致血清转氨酶等酶类增高，而<a target=_blank href="/item/%E8%83%86%E7%A2%B1%E8%84%82%E9%85%B6">胆碱脂酶</a>降低，可致乏力、易倦、思睡等;</div>
<div class="para" label-module="para">3、胆色素代谢异常，可致黄疸，主要症状变现为为皮肤、巩膜等组织的黄染，黄疸加深时，尿、痰、泪液及汗液也被黄染，唾液一般不变色。</div>
<div class="para" label-module="para">4、凝血因子合成异常，可致牙龈出血、鼻出血等<a target=_blank href="/item/%E5%87%BA%E8%A1%80%E5%80%BE%E5%90%91">出血倾向</a>;</div>
<div class="para" label-module="para">5、维生素类代谢异常，各种维生素的缺乏可致皮肤粗糙、<a target=_blank href="/item/%E5%A4%9C%E7%9B%B2">夜盲</a>、唇舌炎症、浮肿、皮肤出血、骨质疏松等。</div>
<div class="para" label-module="para">肝功能不好的症状还有口干，大便或干或溏，小便黄，或有低烧，头昏耳鸣，<a target=_blank href="/item/%E9%9D%A2%E8%89%B2%E8%90%8E%E9%BB%84">面色萎黄</a>无华等。</div>
<div class="para" label-module="para">如果是<a target=_blank href="/item/%E8%82%9D%E7%A1%AC%E5%8C%96">肝硬化</a>，除有肝炎的临床表现之外，还有<a target=_blank href="/item/%E8%85%B9%E6%B0%B4">腹水</a>，周身水肿，尿少，<a target=_blank href="/item/%E8%82%9D%E6%8E%8C">肝掌</a>，<a target=_blank href="/item/%E8%9C%98%E8%9B%9B%E7%97%A3">蜘蛛痣</a>，严重者还可能大出血。</div><div class="anchor-list">
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<h2 class="title-text"><span class="title-prefix">肝功</span>受损原因</h2>
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<div class="para" label-module="para">肝功能受损的原因之一：饮酒过多</div>
<div class="para" label-module="para">长期或间断性大量饮酒可引起肝损伤。饮酒量大、持续饮用时间越长，其后果越严重。酒精会直接毒害肝细胞，影响其结构及功能。现实中，的确有不少人就是因为饮酒过度才患上酒精性肝炎、脂肪肝，致使肝脏受损。</div>
<div class="para" label-module="para">肝功能受损的原因之二：熬夜过劳</div>
<div class="para" label-module="para">工作繁忙，经常熬夜，睡眠不足，疲劳过度，会引起肝脏血流相对不足，影响肝脏细胞的营养滋润，抵抗力下降，致使已受损的肝细胞难于修复并加剧���化。</div>
<div class="para" label-module="para">肝功能受损的原因之三：环境污染</div>
<div class="para" label-module="para">城市生活环境恶化严重，空气中充满工业废气、汽车尾气，工作环境空气污浊，病菌孳生。长时间处于这样的环境，各种各样的化学毒物进入人体，难免会损伤肝脏。</div>
<div class="para" label-module="para">肝功能受损的原因之四：感染寄生虫</div>
<div class="para" label-module="para">在南方某些地区容易感染血吸虫、<a target=_blank href="/item/%E5%8D%8E%E6%9E%9D%E7%9D%BE%E5%90%B8%E8%99%AB">华枝睾吸虫</a>、阿米巴、<a target=_blank href="/item/%E9%92%A9%E7%AB%AF%E8%9E%BA%E6%97%8B%E4%BD%93">钩端螺旋体</a>、细菌、病毒均可造成肝脏损害；</div>
<div class="para" label-module="para">肝功能受损的原因之五：胆道疾病</div>
<div class="para" label-module="para">胆道阻塞胆道阻塞（如结石、肿瘤、<a target=_blank href="/item/%E8%9B%94%E8%99%AB">蛔虫</a>等）使<a target=_blank href="/item/%E8%83%86%E6%B1%81%E6%B7%A4%E7%A7%AF">胆汁淤积</a>，如时间过长，可因滞留的胆汁对<a target=_blank href="/item/%E8%82%9D%E7%BB%86%E8%83%9E">肝细胞</a>的损害作用和肝内扩张的胆管对血窦压迫造成肝缺血，而引起肝细胞变性和坏死。</div><div class="anchor-list">
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<a name="检查费用" class="lemma-anchor " ></a>
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<h2 class="title-text"><span class="title-prefix">肝功</span>检查费用</h2>
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<div class="para" label-module="para">肝功能检查项目通常包括：丙转氨酶、谷草转氨酶、<a target=_blank href="/item/%E6%80%BB%E8%9B%8B%E7%99%BD">总蛋白</a>、白蛋白、球蛋白、白蛋白/球蛋白以及<a target=_blank href="/item/%E6%80%BB%E8%83%86%E7%BA%A2%E7%B4%A0">总胆红素</a>的检查。肝功能检查方法可以帮助患者及早地发现和诊断某些疾病，是否患有急、<a target=_blank href="/item/%E6%85%A2%E6%80%A7%E8%82%9D%E7%82%8E">慢性肝炎</a>、酒精肝、<a target=_blank href="/item/%E8%8D%AF%E7%89%A9%E6%80%A7%E8%82%9D%E7%82%8E">药物性肝炎</a>、<a target=_blank href="/item/%E8%84%82%E8%82%AA%E8%82%9D">脂肪肝</a>、<a target=_blank href="/item/%E8%82%9D%E7%A1%AC%E5%8C%96">肝硬化</a>、及肝胆系统疾病等。</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>费用一般都在六十元左右。肝功能检查能够了解自身的肝脏健康状况，及早发现病情���遏制其发展恶化。另外对于肝功能的检查时十分必要的，因为肝脏是人体最大的实质性器官，担负着多样的生理功能。当各种疾病引起<a target=_blank href="/item/%E8%82%9D%E7%BB%86%E8%83%9E">肝细胞</a>损害时，可引起肝细胞内各种物质代谢的异常，导致血液中与肝脏有关的代谢产物和酸含量改变。临床上检查肝功能的目的在于探测肝脏有无疾病，肝脏损害程度以及查明肝病原因，判断预后和鉴别发生<a target=_blank href="/item/%E9%BB%84%E7%96%B8">黄疸</a>的病因等。</div><div class="anchor-list">
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<a name="注意问题" class="lemma-anchor " ></a>
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<h2 class="title-text"><span class="title-prefix">肝功</span>注意问题</h2>
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<div class="para" label-module="para">临床上分析肝功能检查结果需要注意以下问题：</div>
<div class="para" label-module="para">1、<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>正常，不等于细胞没有受损，反之当肝功能检查异常时，必然反映肝脏有广泛的病变。</div>
<div class="para" label-module="para">2、临床上应同时做几项肝功能检查，因还没有哪一项试验能反映肝功能的全貌，在某些肝功能受损害时，对其敏感的某个肝功能检查首先表现出异常，而其他<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E8%AF%95%E9%AA%8C">肝功能试验</a>可能正常。</div>
<div class="para" label-module="para">3、在判定肝功能试验结果时，要注意排除肝外疾病或其他因素。某些肝功能试验并非肝脏检查所特有，如转氨酶、乳酸脱氢酶在心脏和骨骼肌病变时，亦可以发生变化。</div><div class="anchor-list">
<a name="13" class="lemma-anchor para-title" ></a>
<a name="sub1369578_13" class="lemma-anchor " ></a>
<a name="检查" class="lemma-anchor " ></a>
</div><div class="para-title level-2" label-module="para-title">
<h2 class="title-text"><span class="title-prefix">肝功</span>检查</h2>
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<div class="para" label-module="para"><a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>应每隔半年复查一次。慢性肝炎及肝硬化稳定期，每隔一个半月到三个月复查一次，活动期每半个月到一个月检查一次肝功能。<sup class="sup--normal" data-sup="6">
[6]</sup><a class="sup-anchor" name="ref_[6]_1369578">&nbsp;</a>
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<a name="14" class="lemma-anchor para-title" ></a>
<a name="sub1369578_14" class="lemma-anchor " ></a>
<a name="月经期" class="lemma-anchor " ></a>
</div><div class="para-title level-2" label-module="para-title">
<h2 class="title-text"><span class="title-prefix">肝功</span>月经期</h2>
<a class="edit-icon j-edit-link" data-edit-dl="14" href="javascript:;"><em class="cmn-icon wiki-lemma-icons wiki-lemma-icons_edit-lemma"></em>编辑</a>
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<div class="para" label-module="para">月经期可以做肝功能检查吗？</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>是抽血化验检查，跟来不来月经没有什么关系，月经期做肝功能检查并不影响检查结果，因而月经期可以做肝功能检查。但是为了保证检查结果的准确性，肝功能检查前应该注意以下事项：</div>
<div class="para" label-module="para">一、检查肝功为空腹血：空腹血是指清晨未进餐前，距前一餐的12-14小时的静脉血。查肝功能要在早上空腹去医院抽血，检查前一天晚上8点后不要进食，禁早餐，以免影响肝功能检查结果。</div>
<div class="para" label-module="para">二、在查肝功前，注意休息，保证睡眠，不作剧烈运动，检查前，饮食以清淡为主，不要喝酒。</div>
<div class="para" label-module="para">三、尽量不服药物尤其避免服用有损坏肝脏的药物，不吃保健品营养品，以免因药物影响结果。如果身体条件允许，最好在做<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>前3～5天停药，若病情需要，则不必强行停药，需在检查时向医生讲明。</div>
<div class="para" label-module="para">四、尽量避免在静脉输液期间或在用药4小时内做肝功能检查。</div>
<div class="para" label-module="para">看完上述内容，想必大家对于月经期可以做肝功能检查吗已经有了一个详细的认识。此外，专家另外提醒，检查肝功能的朋友必须要明白的是，肝功能检查并不是万能的，有一定局限性，比如肝功能检查的敏感程度有一定限度，而且肝脏代偿储备能力很强，因此肝功能检查正常不一定没有肝病，另外，肝功能检查中的有些指标缺乏特异性，所以<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E5%BC%82%E5%B8%B8">肝功能异常</a>也不一定就是肝病。</div><div class="anchor-list">
<a name="15" class="lemma-anchor para-title" ></a>
<a name="sub1369578_15" class="lemma-anchor " ></a>
<a name="健康体检" class="lemma-anchor " ></a>
</div><div class="para-title level-2" label-module="para-title">
<h2 class="title-text"><span class="title-prefix">肝功</span>健康体检</h2>
<a class="edit-icon j-edit-link" data-edit-dl="15" href="javascript:;"><em class="cmn-icon wiki-lemma-icons wiki-lemma-icons_edit-lemma"></em>编辑</a>
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<div class="para" label-module="para">胆红素总量(简称STB) 正常情况：脐血&lt;34μmol/L 0～1天&lt;103μmol/L 3～5天&lt;205μmol/L 其后&lt;34μmol/L 成人：1.7～17.1μmol/L</div>
<div class="para" label-module="para">胆红素总量增高、<a target=_blank href="/item/%E9%97%B4%E6%8E%A5%E8%83%86%E7%BA%A2%E7%B4%A0">间接胆红素</a>增高：<a target=_blank href="/item/%E6%BA%B6%E8%A1%80%E6%80%A7%E8%B4%AB%E8%A1%80">溶血性贫血</a>，血型不合输血，恶性疾病，<a target=_blank href="/item/%E6%96%B0%E7%94%9F%E5%84%BF%E9%BB%84%E7%96%B8">新生儿黄疸</a>等。 胆红素总量增高、直接与间接胆红素均增高：<a target=_blank href="/item/%E6%80%A5%E6%80%A7%E9%BB%84%E7%96%B8%E5%9E%8B%E8%82%9D%E7%82%8E">急性黄疸型肝炎</a>，<a target=_blank href="/item/%E6%85%A2%E6%80%A7%E6%B4%BB%E5%8A%A8%E6%80%A7%E8%82%9D%E7%82%8E">慢性活动性肝炎</a>，肝硬变，<a target=_blank href="/item/%E4%B8%AD%E6%AF%92%E6%80%A7%E8%82%9D%E7%82%8E">中毒性肝炎</a>等。 胆红素总量增高、<a target=_blank href="/item/%E7%9B%B4%E6%8E%A5%E8%83%86%E7%BA%A2%E7%B4%A0">直接胆红素</a>增高：肝内及肝外阻塞性黄疸，胰头癌，毛细胆管型肝炎及其他胆汁瘀滞综合征等。</div>
<div class="para" label-module="para">直接胆红素(简称SDB)正常情况： 0～3.4μmol/L</div>
<div class="para" label-module="para">临床意义同上</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E9%97%B4%E6%8E%A5%E8%83%86%E7%BA%A2%E7%B4%A0">间接胆红素</a>(简称SIB) 正常情况：1.7～13.7μmol/L</div>
<div class="para" label-module="para">临床意义同上</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E6%80%BB%E8%9B%8B%E7%99%BD">总蛋白</a>(简称TP) 正常情况： 60～80g/L</div>
<div class="para" label-module="para">增加：高渗性失水，多发性骨髓瘤，阿狄森病，某些急慢性感染所致高球蛋白血症等。减少：慢性肝病，肝硬变，慢性感染，慢性消耗性疾病，长期腹泻，肾病综合征，营养不良等。</div>
<div class="para" label-module="para">白蛋白(简称Alb)正常情况：40～55g/L</div>
<div class="para" label-module="para">增加：偶见于脱水所致的<a target=_blank href="/item/%E8%A1%80%E6%B6%B2%E6%B5%93%E7%BC%A9">血液浓缩</a>。减低：肝病，肾病，营养不良等。</div>
<div class="para" label-module="para">球蛋白(简称G)正常情况：20～29g/L</div>
<div class="para" label-module="para">增高：失水，结核病，黑热病，血吸虫病，疟疾，麻风，SLE，硬皮病，风湿热，类风湿性关���炎，肝硬变，骨髓瘤，淋巴瘤等。减少：皮质醇增多症，长期应用糖皮质类固醇激素。出生后至3岁，球蛋白呈生理性降低。</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E4%B8%99%E6%B0%A8%E9%85%B8%E6%B0%A8%E5%9F%BA%E8%BD%AC%E7%A7%BB%E9%85%B6">丙氨酸氨基转移酶</a>(简称ALT，GPT) 正常情况：改良穆氏法 &lt;500nmol.s-1/L Reitman法 2～30U</div>
<div class="para" label-module="para">增高：急慢性肝病，<a target=_blank href="/item/%E8%83%86%E9%81%93%E6%84%9F%E6%9F%93">胆道感染</a>，胆石症，急性胰腺炎，急性心肌梗塞，<a target=_blank href="/item/%E5%BF%83%E8%82%8C%E7%82%8E">心肌炎</a>，心衰，肺梗塞，流脑，SLE等。儿童，寒冷，过度劳累，剧烈运动，<a target=_blank href="/item/%E6%BA%B6%E8%A1%80%E5%8F%8D%E5%BA%94">溶血反应</a>亦可升高。</div>
<div class="para" label-module="para"><a target=_blank href="/item/%E9%97%A8%E5%86%AC%E6%B0%A8%E9%85%B8%E6%B0%A8%E5%9F%BA%E8%BD%AC%E7%A7%BB%E9%85%B6">门冬氨酸氨基转移酶</a>(简称AST，GOT)正常情况：改良穆氏法 &lt;667nmol.s-1/ LReitman法 3～30U</div>
<div class="para" label-module="para">增加：一般心肌梗塞(发病后6h明显升高，48h达高峰，3～5天后恢复正常)，各种肝病、心肌炎、<a target=_blank href="/item/%E8%83%B8%E8%86%9C%E7%82%8E">胸膜炎</a>、肾炎、肺炎等亦可轻度升高。GOT有两种同工酶，存在于胞浆内的称s-GOT，存在于线粒体内的称为m-GOT。GOT同工酶测定有助于瞭解组织损伤程度，心肌、肝、肾病变时。s-GOT升高;组织损伤时m-GOT才能在血清中测得。心肌梗塞时，m-GOT先于s-GOT而升高。</div><div class="anchor-list">
<a name="16" class="lemma-anchor para-title" ></a>
<a name="sub1369578_16" class="lemma-anchor " ></a>
<a name="慢性乙肝" class="lemma-anchor " ></a>
</div><div class="para-title level-2" label-module="para-title">
<h2 class="title-text"><span class="title-prefix">肝功</span>慢性乙肝</h2>
<a class="edit-icon j-edit-link" data-edit-dl="16" href="javascript:;"><em class="cmn-icon wiki-lemma-icons wiki-lemma-icons_edit-lemma"></em>编辑</a>
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<div class="para" label-module="para">从肝功判断慢性乙肝的轻重：</div>
<div class="para" label-module="para">1、轻度：肝功能指标仅1或2项轻度异常。具体如下：</div>
<div class="para" label-module="para">谷丙或谷草转氨酶40~120国际单位/升，<a target=_blank href="/item/%E8%A1%80%E6%B8%85%E8%83%86%E7%BA%A2%E7%B4%A0">血清胆红素</a>17.1~34.2μml/L，白蛋白大于等于35g/L，白蛋白/球蛋白比值大于1.4，电泳γ球蛋白小于等于21%，<a target=_blank href="/item/%E5%87%9D%E8%A1%80%E9%85%B6%E5%8E%9F%E6%B4%BB%E5%8A%A8%E5%BA%A6">凝血酶原活动度</a>大于70%，胆碱酯酶大于5400单位/升。</div>
<div class="para" label-module="para">2、中度：谷丙或谷草转氨酶120~200国际单位/升，血清胆红素34.2~85.5μml/L，白蛋白大于等于35g/L，白蛋白/球蛋白比值1.0~1.3，电泳γ球蛋白小于等于22%~26%，凝血酶原活动度大于60%~70%，胆碱酯酶大于4500~5400单位/升。</div>
<div class="para" label-module="para">3、重度：谷丙或谷草转氨酶大于200国际单位/升，<a target=_blank href="/item/%E8%A1%80%E6%B8%85%E8%83%86%E7%BA%A2%E7%B4%A0">血清胆红素</a>85.5μml/L，白蛋白小于32g/L，白蛋白/球蛋白比值小于1.0，电泳γ球蛋白大于等于26%，凝血酶原活动度大于40~60%，胆碱酯酶小于4500单位/升。</div>
<div class="para" label-module="para">怀孕前肝功异常就不能怀孕吗？</div>
<div class="para" label-module="para">是的，怀孕后胎儿会加重肝脏的负担，所以担心肝功的大幅度上升而不利于母子。在怀孕前就有肝功异常的情况，那孕后更有可能进一步上升，更不利于孕期的安全。但是，有一种情况，不在用药时期，但肝功一直稍微异常，这时又不得不怀孕的话，也可考虑怀孕，但要更加注意肝功能的情况，及早发现及早降酶保胎。</div><div class="anchor-list">
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<a name="综合评估" class="lemma-anchor " ></a>
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<h2 class="title-text"><span class="title-prefix">肝功</span>综合评估</h2>
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<div class="para" label-module="para">临床上常规的肝功能检查项目，多不能全面地、准确地反映肝脏的代偿能力，一般难以作出准确的性能评估。所以，评价肝脏功能应具体问题具本分析，要全面地、历史地、重点地、动态地评价肝脏功能。</div>
<div class="para" label-module="para">1、全面地看：肝脏是一个功能非常复杂的代谢器官，还没有哪一项试验能反映肝功能全貌。在肝功能的某些方面受损时，对其敏感的某个肝功能检查首先表现出异常，而其他肝功能试验可能正常。因此，临床上应同时做几项<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E6%A3%80%E6%9F%A5">肝功能检查</a>，而且除了这些肝功能检查外，还应该检查其他一些项目，如血常规、乙肝五项、乙型肝炎病毒DNA、腹部B超、CT或<a target=_blank href="/item/%E7%A3%81%E5%85%B1%E6%8C%AF%E6%A3%80%E6%9F%A5">磁共振检查</a>。要特别注意的是食管<a target=_blank href="/item/%E9%92%A1%E9%A4%90%E9%80%8F%E8%A7%86">钡餐透视</a>及胃镜检查同样必不可少。必要时还应行肝穿刺活组织<a target=_blank href="/item/%E7%97%85%E7%90%86%E6%A3%80%E6%9F%A5">病理检查</a>、<a target=_blank href="/item/%E8%85%B9%E6%B0%B4">腹水</a>检查等。</div>
<div class="para" label-module="para">2、历史地看：详细询问病史对评价<a target=_blank href="/item/%E8%82%9D%E5%8A%9F%E8%83%BD%E8%AF%95%E9%AA%8C">肝功能试验</a>有较大帮助，有些可提供极有价值的线索。现病史中的消化道出血史、感染史均能反映其肝脏功能，有严重感染病史，其肝功能会明显下降，甚至发生急性肝功能衰竭。</div>
<div class="para" label-module="para">3、动态地看：要动态地观察其肝功能的变化，是逐渐好转，还是在走下坡路，是一直稳定，还是反复波动，不能只凭一次的肝功能结果就妄下结论。</div>
<div class="para" label-module="para">4、重点地看：大量的肝功能检查结果有时让你摸不着头绪，建议你应该抓住重点，肝功能要重点了解蛋白质代谢试验（白蛋白、凝血因子和血氨等）、胆红素代谢试验（血清<a target=_blank href="/item/%E6%80%BB%E8%83%86%E7%BA%A2%E7%B4%A0">总胆红素</a>）、脂质和脂蛋白代谢试验（血清胆固醇）、血清酶试验（转氨酶和胆碱酯酶等）、主要反映<a target=_blank href="/item/%E8%83%86%E6%B1%81%E6%B7%A4%E7%A7%AF">胆汁淤积</a>的血清酶类（碱性磷酸酶等）、肝脏储备功能试验（口服葡萄糖耐量试验OGTT）等。</div>
<dl class="lemma-reference collapse nslog-area log-set-param" data-nslog-type="2" log-set-param="ext_reference">
<dt class="reference-title">参考资料</dt>
<dd class="reference-list-wrap">
<ul class="reference-list">
<li class="reference-item reference-item--type1 " id="reference-[1]-1369578-wrap">
<span class="index">1.</span>
<a class="gotop anchor"  name="refIndex_1_1369578" id="refIndex_1_1369578" title="向上跳转" href="#ref_[1]_1369578">&nbsp;&nbsp;</a>
<a rel="nofollow" href="/redirect/f4290fZDlynkodYWA66VdVsoxn81tqjc3ihqvr6dSwSmq9AvdKnhYrxZEn3NUpa-DCY_g7RsMBwPhAahx6jtStSfPQG194EdEm4k3txK" target="_blank" class="text">肝功能化验单怎么看<span class="linkout">&nbsp;</span></a>
</li><li class="reference-item reference-item--type1 " id="reference-[2]-1369578-wrap">
<span class="index">2.</span>
<a class="gotop anchor"  name="refIndex_2_1369578" id="refIndex_2_1369578" title="向上跳转" href="#ref_[2]_1369578">&nbsp;&nbsp;</a>
<a rel="nofollow" href="/redirect/69b4Qdwlh-xyo6wPjhnRgPLBBWm05GLo_58sb42DWCccFlpvherbL-H6bDzzwQXE9QW32bH51e6H0riSUZlooc-RTZ2ayBo" target="_blank" class="text">肝功能检查结果分析【图文版】<span class="linkout">&nbsp;</span></a>
</li><li class="reference-item reference-item--type1 " id="reference-[3]-1369578-wrap">
<span class="index">3.</span>
<a class="gotop anchor"  name="refIndex_3_1369578" id="refIndex_3_1369578" title="向上跳转" href="#ref_[3]_1369578">&nbsp;&nbsp;</a>
<a rel="nofollow" href="/redirect/a6d0HpjmewmbbhIQYWE6vAde2JqAc-0cHYx9AiAELCUyOofct2Etd5EcDowUUjmYXrV9DVRt3y94RIQmwWqFi6NuGa70K8wakB0" target="_blank" class="text">肝功中的四种肝酶都有什么特点<span class="linkout">&nbsp;</span></a>
<span class="site">．中国肝病防治中心</span><span>&#91;引用日期2012-08-31&#93;</span></li><li class="reference-item reference-item--type1 " id="reference-[4]-1369578-wrap">
<span class="index">4.</span>
<a class="gotop anchor"  name="refIndex_4_1369578" id="refIndex_4_1369578" title="向上跳转" href="#ref_[4]_1369578">&nbsp;&nbsp;</a>
<a rel="nofollow" href="/redirect/1addErhTvAdpHaFNiy0b2b4FV47rqspIWRUcU_BO0n-xBSyTp0R-_F1UoMM4EPpL7d-4crZKPUV37hMRqg" target="_blank" class="text">【荐】肝功能异常表现<span class="linkout">&nbsp;</span></a>
<span class="site">．肝病研究中心</span><span>&#91;引用日期2012-07-21&#93;</span></li><li class="reference-item reference-item--type1 " id="reference-[5]-1369578-wrap">
<span class="index">5.</span>
<a class="gotop anchor"  name="refIndex_5_1369578" id="refIndex_5_1369578" title="向上跳转" href="#ref_[5]_1369578">&nbsp;&nbsp;</a>
<a rel="nofollow" href="/redirect/6d32ZhVpFLeBBX0O0rQHqjBHMdMNTbAQrZJtOsTpp2CVyAR_-go8-KkBs01sf-GI1yxD0dm2mJeBtkCus9y0dfZIEYCaEJAJwQ-1mtz2GcLnHOnFcYs5dAkWug" target="_blank" class="text">肝功能检查需要空腹吗<span class="linkout">&nbsp;</span></a>
</li><li class="reference-item reference-item--type1 " id="reference-[6]-1369578-wrap">
<span class="index">6.</span>
<a class="gotop anchor"  name="refIndex_6_1369578" id="refIndex_6_1369578" title="向上跳转" href="#ref_[6]_1369578">&nbsp;&nbsp;</a>
<a rel="nofollow" href="/redirect/e3017I5qmVZ9xxaN00XvU502OH-lxt1lj5VUJ8mGEKSJgZy2dR7N1LpJ9FkVlhSqvymnxPK2OC_eVZgCvufEqFCTGztSKiZzh3C2vDE3vD1Yhfg" target="_blank" class="text">肝功能多久检查一次<span class="linkout">&nbsp;</span></a>
</li></ul>
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科学
</span>
，<span class="taglist">
疾病
</span>
，<span class="taglist">
学科
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                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

    // 展现策略
    rightCheck.editView('10604105', function(res) {
        if (!res.errno) {
            if (res.data.edit) {
                $('.para-title .edit-icon').css('display', 'block');
            }
        } else {
            if ('1') {
                $('.para-title .edit-icon').css('display', 'block');
            }
        }
    });
}();
!function(){		require.async(["wiki-lemma:widget/lemma_content/mainContent/lemmaReference/lemmaReference","wiki-lemma:widget/lemma_content/mainContent/lemmaReference/lemmaReferenceTip/lemmaReferenceTip"],function(Reference,ReferenceTip){
			new Reference({
				subLemmaId:"1369578"
			});
			new ReferenceTip({
				subLemmaId:"10604105",
				lemmaTitle:"肝功",
				reference:[{"index":1,"type":"1","title":"\u809d\u529f\u80fd\u5316\u9a8c\u5355\u600e\u4e48\u770b","url":"\/redirect\/f4290fZDlynkodYWA66VdVsoxn81tqjc3ihqvr6dSwSmq9AvdKnhYrxZEn3NUpa-DCY_g7RsMBwPhAahx6jtStSfPQG194EdEm4k3txK","site":"","publishDate":"","refDate":""},{"index":2,"type":"1","title":"\u809d\u529f\u80fd\u68c0\u67e5\u7ed3\u679c\u5206\u6790\u3010\u56fe\u6587\u7248\u3011","url":"\/redirect\/69b4Qdwlh-xyo6wPjhnRgPLBBWm05GLo_58sb42DWCccFlpvherbL-H6bDzzwQXE9QW32bH51e6H0riSUZlooc-RTZ2ayBo","site":"","publishDate":"","refDate":""},{"index":3,"type":"1","title":"\u809d\u529f\u4e2d\u7684\u56db\u79cd\u809d\u9176\u90fd\u6709\u4ec0\u4e48\u7279\u70b9","url":"\/redirect\/a6d0HpjmewmbbhIQYWE6vAde2JqAc-0cHYx9AiAELCUyOofct2Etd5EcDowUUjmYXrV9DVRt3y94RIQmwWqFi6NuGa70K8wakB0","site":"\u4e2d\u56fd\u809d\u75c5\u9632\u6cbb\u4e2d\u5fc3","publishDate":"","refDate":"2012-08-31"},{"index":4,"type":"1","title":"\u3010\u8350\u3011\u809d\u529f\u80fd\u5f02\u5e38\u8868\u73b0","url":"\/redirect\/1addErhTvAdpHaFNiy0b2b4FV47rqspIWRUcU_BO0n-xBSyTp0R-_F1UoMM4EPpL7d-4crZKPUV37hMRqg","site":"\u809d\u75c5\u7814\u7a76\u4e2d\u5fc3","publishDate":"","refDate":"2012-07-21"},{"index":5,"type":"1","title":"\u809d\u529f\u80fd\u68c0\u67e5\u9700\u8981\u7a7a\u8179\u5417","url":"\/redirect\/6d32ZhVpFLeBBX0O0rQHqjBHMdMNTbAQrZJtOsTpp2CVyAR_-go8-KkBs01sf-GI1yxD0dm2mJeBtkCus9y0dfZIEYCaEJAJwQ-1mtz2GcLnHOnFcYs5dAkWug","site":"","publishDate":"","refDate":""},{"index":6,"type":"1","title":"\u809d\u529f\u80fd\u591a\u4e45\u68c0\u67e5\u4e00\u6b21","url":"\/redirect\/e3017I5qmVZ9xxaN00XvU502OH-lxt1lj5VUJ8mGEKSJgZy2dR7N1LpJ9FkVlhSqvymnxPK2OC_eVZgCvufEqFCTGztSKiZzh3C2vDE3vD1Yhfg","site":"","publishDate":"","refDate":""}]
			});
		});
	}();
!function(){        require.async(["wiki-common:widget/lib/jquery/jquery"],function($){
            function openTagToggle(node) {
                if ($(node).hasClass("collapse")) {
                    $(node).removeClass("collapse");
                    $("#open-tag").css("height", '22px');
                } else {
                    $(node).addClass("collapse");
                    $("#open-tag").css("height", $("#open-tag-item").css("height"));
                }
            }
            if (parseInt($("#open-tag-item").css("height")) <= 30) {
                $('#open-tag-collapse').hide();
            }
            $("#open-tag-collapse").on("click", function () {
                openTagToggle($("#open-tag")[0]);
            });
        });
    }();
!function(){        require('wiki-lemma:widget/lemma_content/configModule/zhixin/zhixin')(
            10604105,
            '肝功'
        );
    }();
!function(){    require.async(["wiki-lemma:widget/lemma_content/mainContent/lemmaStatistics/lemmaStatistics"],function(init){
        init({
            newLemmaIdEnc:"5936ecdc91097fa02d407a74"
        });
    });
}();
!function(){	require.async(["wiki-lemma:widget/lemma_content/mainContent/sideCatalog/sideCatalog"],function(SideCatalog){
		new SideCatalog();
	});
}();
!function(){        require.async(["wiki-lemma:widget/promotion/fengchao/fengchao","wiki-lemma:widget/promotion/unionAd/unionAd"], function (init, unionAd) {
            init({
                newLemmaId: "10604105",
                lemmaTitle: "肝功",
                encodeLemmaTitle: "%B8%CE%B9%A6",
                adManager: {"wapRelatedBusiness":1}
            }, {
                errFn: unionAd,
                dom: $('#side_box_unionAd')
            });
        });
    }();
!function(){        require.async(['wiki-lemma:widget/promotion/guessLike/guessLike'], function (app) {
            app.init({
                lemmaTitle: '肝功',
                adManager: {"wapRelatedBusiness":1}
            });
        });
    }();
!function(){            require.async(['wiki-lemma:widget/promotion/bottomAd/bottomAd'], function (init) {
                init({
                    sId: 'BOTTOM_PRO_AD',
                    adManager: {"wapRelatedBusiness":1}
                });
            });
        }();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var Dialog = require("wiki-common:widget/ui/dialog/dialog");
    var userLogin = require('wiki-common:widget/component/userLogin/userLogin');
    var unameFiller = require('wiki-common:widget/component/unameFiller/unameFiller');
    var rightCheck = require('wiki-lemma:widget/tools/rightCheck/rightCheck');

            var isEnterprise = false;
        var enterpriseOwnerUserId = 0;
    
    var userId = 0;
    var editUrl = '/edit/' + encodeURIComponent('肝功') + '/' + '10604105';
    var pgcUrl = '/enterprise/editpgc?lemmaId=10604105';

    userLogin.regist({
        onLogin: function(user) {
            userId = user ? user.uid : 0;
        }
    });

    function gotoEdit(url, isMidNight) {
        if (isMidNight) {
            Dialog.alert({
                title: '编辑提示',
                subMsg: '晚23:00至次日8:00，因审核系统例行维护，您提交的版本可能需要较长时间才能通过，望您谅解。',
                onConfirm: function() {
                    window.location.href = url;
                }
            });
        } else {
            window.location.href = url;
        }    
    }

    function showChoseEditDialog(pgcCallback, ugcCallback) {
        new Dialog({
            title: '编辑提示',
            subMsg: '<p>您已开通企业百科服务，推荐您直接编辑“官方资料”，官方资料仅限企业百科绑定的百科账号修改，其他用户账号不可修改。</p><p>如果您想修改其他网友编辑的普通词条内容，请注意遵守百��百科编辑规则。<p>',
            btns: [{
            key: 'pgc',
            text: '编辑官方资料'
            }, {
            style: 'white',
            text: '修改普通词条',
            key: 'ugc'
            }],
            onBtnClick: function(btnKey){
                if (btnKey === 'pgc') {
                    pgcCallback && pgcCallback();
                } else if (btnKey === 'ugc') {
                    ugcCallback && ugcCallback();
                }
            }
        }).show();
    }

    function checkUserLegal(res) {
        var legal = false;
        switch (res.errno) {
            case 100001:
                userLogin.showLoginPop();
                break;
            case 100006:
                unameFiller.show();
                break;
            default:
                legal = true;
        }
        return true;
    }

    function checkUgc(res, url) {
        if (res.errno) {
            switch (res.errno) {
                case 100005:
                    alert('对不起，您目前被封禁');
                    break;
                case 110001:
                    alert('对不起，该词条被锁定');
                    break;
                case 110007:
                    alert('对不起，消歧页无法编辑');
                    break;
                case 110005:
                    Dialog.alert({
                    title: '编辑提示',
                    mainMsg: '对不起，您暂时没有权限编辑该词条。',
                    subMsg: '<p>您好，该词条内容已较丰富，现仅对百科等级达到<b>四级</b>且通过率达到<b>85%</b>的科友开放编辑。</p><p>当您通过努力达到以上要求，就可以参与编辑该词条了。</p><p><img src="https://bkssl.bdimg.com/img/baike/usercenter/growuptask/star.gif" class="star" />参加<a target="_blank" href="/usercenter#guide">成长任务</a>，更快掌握百科编辑技巧，加速升级！</p>'
                    });
                    break;
                case 110008:
                    Dialog.alert({
                    title: '编辑提示',
                    mainMsg: '对不起，您暂时没有权限编辑该词条。',
                    subMsg: '<p>您好，该词条内容已较丰富，现仅对百科等级达到<b>六级</b>且通过率达到<b>85%</b>的科友开放编辑。</p><p>当您通过努力达到以上要求，就可以参与编辑该词条了。</p><p><img src="https://bkssl.bdimg.com/img/baike/usercenter/growuptask/star.gif" class="star" />参加<a target="_blank" href="/usercenter#guide">成长任务</a>，更快掌握百科编辑技巧，加速升级！</p>'
                    });
                    break;
                case 470001:
                    alert('系统错误，请刷新重试');
                    break;
                case 110003:
                    Dialog.alert({
                        title: '编辑提示',
                        subMsg: '很抱歉，该词条有其他用户编辑的版本正在提交，您暂时无法编辑。<br/>百科建议您晚些时候再编辑该词条，或者尝试编辑其他的词条。'
                    });
                    break;
            }
        } else {
            if (!res.data.right.noAudit) {
                Dialog.alert({
                    title: '编辑提示',
                    subMsg: '很抱歉，该词条有其他用户编辑的版本正在提交，您暂时无法编辑。<br/>百科建议您晚些时候再编辑该词条，或者尝试编辑其他的词条。'
                });
                return;
            }
            gotoEdit(url, res.data.notice.isMidNight);
        }
    }

    $(document.body).on('click', '.j-edit-link', function() {
        var dl = $(this).attr('data-edit-dl');
        if (dl) {
            var url = editUrl + '?dl=' + dl;
        } else {
            var url = editUrl;
        }

        rightCheck.preeditCheck('10604105', '肝功', '肝功', '121136751', '', function(res) {
            if (!checkUserLegal(res)) {
                return;
            }
            if (isEnterprise && enterpriseOwnerUserId === userId) {
                showChoseEditDialog(function() {
                    location.href = pgcUrl;
                }, function() {
                    checkUgc(res, url);
                });
            } else {
                checkUgc(res, url);
            }
        });
    });
}();
!function(){  require.async(["wiki-common:widget/lib/jquery/jquery","wiki-common:widget/component/footer/footer_feedback"], function($, feedback){
    feedback({el: '#J-bk-feedback-main'});
    feedback({el: '#J-bk-feedback-query', config: {
        appid: 215645,
        productLine: 20184,
        needContactWay: false,
        issuePlaceholder: '亲爱的百度百科用户，请在此填写您的质疑内容及原因哦～'
      },
      proData: {
        "kw": $('#J-bk-feedback-query').data('lemma')
      }
    });
  });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery'),
      initSearchbar = require('wiki-common:widget/component/searchbar-n/searchbar');  
    initSearchbar($('.wgt-searchbar-simple'));
  }();
!function(){    require.async(["wiki-lemma:widget/tools/searchHeader/toolButtons-n/toolButtons"],function(init){
        init({
            lemmaId:"1369578",
            subLemmaId:"1369578",
            newLemmaId:"10604105"
        });
    });
}();
!function(){    require('wiki-lemma:widget/tools/searchHeader/toolButtons-n/userInfo')();
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery'),
      animation = require('wiki-common:widget/util/animation'),
      nslog = require('wiki-common:widget/component/nslog/nslog'),
      initSearchbar = require('wiki-common:widget/component/searchbar/searchbar');

    var isFadeIn = false,
        isFadeOut = false;

    var fadeInAni, fadeOutAni;

    $(window).on('scroll', function(e) {
        var scrollTop = $(this).scrollTop();

        if (scrollTop > 200 && !isFadeIn && $('.lemmaWgt-searchHeader').css('display') == 'none') {
            fadeOutAni && fadeOutAni.stop();
            fadeInAni = animation({
                duration: 200,
                easing: 'linear',
                onStart: function() {
                    isFadeOut = false;
                    isFadeIn = true;
                    $('.lemmaWgt-searchHeader').css('display', 'block');
                },
                onStep: function(progress) {
                    $('.lemmaWgt-searchHeader').css('opacity', progress)
                },
                onComplete: function(progress) {
                    isFadeIn = false;
                    nslog(10010007);
                }
            });
        } else if (scrollTop <= 200 && !isFadeOut && $('.lemmaWgt-searchHeader').css('display') == 'block') {
            fadeInAni && fadeInAni.stop();
            fadeOutAni = animation({
                duration: 300,
                easing: 'linear',
                onStart: function() {
                    $('.lemmaWgt-searchHeader #suggestion').hide();
                    isFadeIn = false;
                    isFadeOut = true;
                },
                onStep: function(progress) {
                    $('.lemmaWgt-searchHeader').css('opacity', 1 - progress);
                },
                onComplete: function(progress) {
                    isFadeOut = false;
                    $('.lemmaWgt-searchHeader').css('display', 'none');
                }
            });
        }
    });
}();
!function(){    require('wiki-lemma:widget/tools/newSideShare/qzopensl');
    require.async(["wiki-lemma:widget/tools/newSideShare/taskSideShare"],function(taskShare){
        taskShare.init({
            title: '肝功',
            desc: "\u809d\u529f\u662f\u901a\u8fc7\u5404\u79cd\u751f\u5316\u8bd5\u9a8c\u65b9\u6cd5\u68c0\u6d4b\u4e0e\u809d\u810f\u529f\u80fd\u4ee3\u8c22\u6709\u5173\u7684\u5404\u9879\u6307\u6807\u4ee5\u53cd\u6620\u809d\u810f\u529f\u80fd\u57fa\u672c\u72b6\u51b5\u3002",
            pic: 'https:\/\/gss2.bdstatic.com\/9fo3dSag_xI4khGkpoWK1HF6hhy\/baike\/w%3D268\/sign=cdcf4e7687d6277fe912353e103a1f63\/b3fb43166d224f4a6a6aa9de09f790529922d108.jpg',
            url: '',
            qqPic: 'https:\/\/gss2.bdstatic.com\/9fo3dSag_xI4khGkpoWK1HF6hhy\/baike\/whfpf%3D620%2C620%2C50\/sign=7c1fc0d3b9389b5038aab312e308d3ef\/b3fb43166d224f4a6a6aa9de09f790529922d108.jpg',
            newLemmaId: '10604105',
            lemmaTitle: '肝功'
        });
    });
}();
!function(){    var $ = require('wiki-common:widget/lib/jquery/jquery');
    var nslog = require("wiki-common:widget/component/nslog/nslog");
    var testElem = require('wiki-common:widget/component/testElem/testElem');
    var cmsModuleLoader = require('wiki-common:widget/component/cmsModuleLoader/cmsModuleLoader');

    function requireAsync() {
        require.async(['wiki-lemma:widget/tools/announcement/announcement']);
    }

    cmsModuleLoader('/api/wikiui/getlemmaconfig', [{
        name: 'announcement',
        script: 'wiki-lemma:widget/tools/announcement/announcement.js'
    }]);

    require.async(["wiki-lemma:widget/tools/lazyLoad/lazyLoad"], function(LazyLoad) {
        new LazyLoad();
    });

    require.async(['wiki-common:widget/component/nslog/nslog','wiki-common:widget/lib/jquery/jquery'], function(nslog, $) {
        nslog().setGlobal({
            lemmaId: "1369578",
            newLemmaId: "10604105",
            subLemmaId: "1369578",
            lemmaTitle: "肝功"
        });

        // 词条页 pv
        nslog(9322);

        // 新版头���pv（小流量）
        if ($('.pc-header-new').length > 0) {
            nslog(9069);
        }

        // 链接点击 pv
        var lemmaPageRegExp = new RegExp(/\/subview\/\d+|\/view\/\d+|\/item\//i);
        $('body').on('mousedown', 'a', function() {
            var href = $(this).attr('href');
            if (href && href.indexOf('/') >= 0 && href.indexOf('#') !== 0) {
                // 链接点击 pv
                nslog(10000001);
                if (lemmaPageRegExp.test(href)) {
                    // 词条页链接点击 pv
                    nslog(10000002, window.location.href, {
                        targetTitle: $(this).text()
                    });
                }
            }
        });

        /****** 词条页站内流转需求统计 start ******/
        (function () {
            // 各种统计配置
            var circulationLinkCfg = {
                innerLink: [ // 内链
                    '.para',
                    '.lemmaWgt-baseInfo-simple-largeMovie',
                    '.lemmaWgt-baseInfo-simple-largeStar',
                    '.basic-info .basicInfo-block',
                    '.lemma-summary',
                    '.lemmaWgt-lemmaSummary',
                    '.view-tip-panel',
                    '.horizontal-module',
                    '.lemmaWgt-roleIntroduction',
                    '.dramaSeries .dramaSerialList',
                    '.module-music',
                    '.table-view',
                    '[log-set-param="table_view"]',
                    '.list-module',
                    '.cell-module',
                    '.baseBox .dl-baseinfo', // 配置后台字段
                    '.pvBtn-box .leadPVBtnWrapper',
                    '.drama-actor',
                    '#staffList',
                    '.starMovieAndTvplay',
                    '.main_tab:not(.main_tab-defaultTab)' // 除去词条tab外的tab
                ],
                relationTable: '.rs-container-foot', // 关系表
                peopleRelation: '.star-info-block.relations, .lemmaWgt-focusAndRelation', // 人物关系（明星+普通）
                moduleActors: '.featureBaseInfo .actors, .lemmaWgt-majorActors', // 主要演员、嘉宾、主持人
                moduleWorks: '.featureBaseInfo .works, .large-feature .works', // 代表作品
                moduleQuarterly: '.featureBaseInfo .po_quarterly, .mian_quarterly', // 分季介绍
                rankStar: '.rank-list.stars-rank', // 明星榜
                rankDrama: '.drama-rank-list', // 电视剧榜
                specialTopic: '.special-topic', // 专题模块
                modDetailTable: '#modDetailTable', // 关系表出图
                chuizhitu: '.chuizhitu', // 垂直化模块
                polysemantList: '.polysemantList-wrapper' // 义项切换
            };
            /****** 连接统计 ******/
            function clickNslogFn() {
                for (var k in circulationLinkCfg) {
                    if (k === 'innerLink') {
                        // 词条内链到词条页
                        var tempArr = circulationLinkCfg[k];
                        for (var i = 0, l = tempArr.length; i < l; i++) {
                            tempArr[i] += ' a';
                        }
                        var sSelector = tempArr.join(', ');

                        $('body').on('mousedown', sSelector, {key: k},function(e) {
                            var key = e.data.key;
                            var href = $(this).attr('href');
                            var tar = $(this).attr('target') || '';
                            if (href && href.indexOf('/') >= 0 && href.indexOf('#') !== 0
                            && tar === '_blank' && lemmaPageRegExp.test(href)) {
                                // 词条页普通内链点击 pv
                                nslog(10000004, null ,{division: key});
                            }
                        });
                    } else {
                        // 模块到词条页链接
                        $(circulationLinkCfg[k]).on('mousedown', 'a', {key: k}, function (e) {
                            var key = e.data.key;
                            var href = $(this).attr('href');
                            if (href && href.indexOf('#') !== 0 && lemmaPageRegExp.test(href)) {
                                // 词条页配置模块链接点击 pv
                                nslog(10000004, null, {division: key});
                            }
                        });
                    }
                }
            }
            // 发起统计请求
            clickNslogFn();

            /****** 各模块展现量pv ******/
            function checkModuleIsShow() {
                var result = [];
                for (var k in circulationLinkCfg) {
                    if (k !== 'innerLink' && k !== 'relationTable') {
                        !!$(circulationLinkCfg[k]).html() && result.push(k);
                    }
                }
                if (result.length > 0) {
                    nslog(10000005, null, {showModules: result.join(',')});
                }
            }
            checkModuleIsShow();

        })();
        /****** 词条页站内流转需求统计 end ******/

    });

    // 广告接入 wikiad 统一加载
    // log 词条页广告被拦截情况（此处 log 请求行为）
    nslog(70000101, window.location.href, {
        api: 'lemma-ad',
        action: 'request'
    });
    var tags = {"1":{"tagId":0,"tagName":"\u79d1\u5b66"},"0":{"tagId":0,"tagName":"\u75be\u75c5"},"2":{"tagId":0,"tagName":"\u5b66\u79d1"}};
    var tagsArray = [];
    for (var key in tags) {
        tagsArray.push(tags[key].tagName);
    }
    $.ajax({
        type: 'GET',
        url: '/api/wikiad/getsquirrels',
        data: {
            lemmaId: 10604105,
            tags: tagsArray.join()
        },
        cache: false,
        dataType: 'JSON',
        success: function (res) {
            // log 词条页广告被拦截情况（此处 log 请求成功）
            nslog(70000101, window.location.href, {
                api: 'lemma-ad',
                action: 'success'
            });

            if (!res.errno) {
                if (res.data[5]) {
                    require.async(['wiki-lemma:widget/promotion/rightPreciseAd/rightPreciseAd'], function(rightPreciseAd) {
                        rightPreciseAd(res.data[5]);
                        nslog(10002201, location.href, {
                            adId: res.data[5][0].adId,
                            adTitle: res.data[5][0].name,
                            adPos: 5
                        });
                    });
                } else if (res.data[1]) {
                                        require.async(['wiki-lemma:widget/promotion/vbaike/vbaike'], function(vbaike) {
                        vbaike(res.data[1]);
                        for(var i in res.data[1]) {
                            nslog(10002201, location.href, {
                                adId: res.data[1][i].adId,
                                adTitle: res.data[1][i].name,
                                adPos: 1
                            });
                        }
                    });
                                    }
                if (res.data[9]) {
                                        require.async(['wiki-lemma:widget/promotion/rightBigAd/rightBigAd'], function(rightBigAd) {
                        rightBigAd(res.data[9]);
                            nslog(10002201, location.href, {
                                adId: res.data[9][0].adId,
                                adTitle: res.data[9][0].name,
                                adPos: 9
                            });
                    });
                                    } else if(res.data[2]) {
                    require.async(['wiki-lemma:widget/promotion/slide/slide'], function(slide) {
                        slide(res.data[2]);
                        for(var i in res.data[2]) {
                            nslog(10002201, location.href, {
                                adId: res.data[2][i].adId,
                                adTitle: res.data[2][i].name,
                                adPos: 2
                            });
                        }
                    });
                }
                if (res.data[3]) {
                                        require.async(['wiki-lemma:widget/promotion/topAd/topAd'], function(topAd) {
                        topAd(res.data[3]);
                        nslog(10002201, location.href, {
                            adId: res.data[3][0].adId,
                            adTitle: res.data[3][0].name,
                            adPos: 3
                        });
                    });
                                    }
                if (res.data[4]) {
                                        require.async(['wiki-lemma:widget/promotion/rightAd/rightAd'], function(rightAd) {
                        rightAd(res.data[4]);
                        nslog(10002201, location.href, {
                            adId: res.data[4][0].adId,
                            adTitle: res.data[4][0].name,
                            adPos: 4
                        });
                    });
                                    }
                if (res.data[15]) {
                    require.async(['wiki-lemma:widget/promotion/banner/banner'], function(banner) {
                        banner(res.data[15]);
                        nslog(10002201, location.href, {
                            adId: res.data[15][0].adId,
                            adTitle: res.data[15][0].name,
                            adPos: 15
                        });
                    });
                }
                if (res.data[16]) {
                    require.async(['wiki-lemma:widget/promotion/declaration/declaration'], function(declaration) {
                        declaration(res.data[16]);
                        nslog(10002201, location.href, {
                            adId: res.data[16][0].adId,
                            adTitle: res.data[16][0].name,
                            adPos: 16
                        });
                    })
                }
            } else {
                return;
            }

            setTimeout(function () {
                var elemArr = {};
                res.data[1] && res.data[1].length > 0 && (elemArr['lemma-vbaike-ad'] = $('.lemmaWgt-promotion-vbaike .promotion_viewport a:eq(0) img').get(0));
                res.data[2] && res.data[2].length > 0 && (elemArr['lemma-slide-ad'] = $('.lemmaWgt-promotion-slide .promotion_viewport a:eq(0) img').get(0));
                res.data[3] && res.data[3].length > 0 && (elemArr['lemma-navbar-ad'] = {
                    node: $('.header [nslog-type="10002202"]').get(0),
                    validations: {
                        'noBackgroundImage': function() {
                            return $('.header [nslog-type="10002202"]').css('background-image').indexOf(res.data[3][0].picUrl) < 0
                        }
                    }
                });
                res.data[4] && res.data[4].length > 0 && (elemArr['lemma-side-ad'] = {
                    node: $('.right-ad img').get(0),
                    validations: {
                        'noBackgroundImage': function() {
                            return $('.right-ad img').attr('src').indexOf(res.data[4][0].picUrl) < 0
                        }
                    }
                });
                res.data[15] && res.data[15].length > 0 && (elemArr['lemma-configModule-banner'] = $('.configModuleBanner').get(0));
                res.data[16] && res.data[16].length > 0 && (elemArr['lemma-configModule-declaration'] = $('.lemmaWgt-declaration').get(0));

                testElem.log(elemArr, 70000102);
            }, 1000);
        },
        error: function () {
            // log 词条页广告被拦截情况（此处 log 请求失败）
            nslog(70000101, window.location.href, {
                api: 'lemma-ad',
                action: 'error'
            });
        }
    });

    // 设置分享内容
    window.BKShare.setCommon({
        bdText: "\u3010\u809d\u529f_\u767e\u5ea6\u767e\u79d1\u3011\u809d\u529f\u662f\u901a\u8fc7\u5404\u79cd\u751f\u5316\u8bd5\u9a8c\u65b9\u6cd5\u68c0\u6d4b\u4e0e\u809d\u810f\u529f\u80fd\u4ee3\u8c22\u6709\u5173\u7684\u5404\u9879\u6307\u6807\u4ee5\u53cd\u6620\u809d\u810f\u529f\u80fd\u57fa\u672c\u72b6\u51b5\u3002.....\uff08\u5206\u4eab\u81ea@\u767e\u5ea6\u767e\u79d1\uff09",
        bdDesc: '',
        bdUrl: 'http:\/\/baike.baidu.com\/item\/%E8%82%9D%E5%8A%9F\/10604105',
        bdPic: '',
        onBeforeClick: function (){
            $('.bdshare_dialog_box').hide();
        }
    });

    // 底部投诉带入当前页面 url
    var map = [1, 2, 6, 5];
    $('.wgt-footer-main .suggestion').find('a').each(function(i) {
        $(this).attr('href', 'http://help.baidu.com/newadd?word=%E8%82%9D%E5%8A%9F' + '&&submit_link=' + encodeURIComponent(window.location.href) + '&prod_id=10&category=' + map[i]);
    });

    // 为超出预设内容的表格添加table-responsive控制
    $('.main-content').find('table').each(function(index) {
        var $that = $(this);
        if ($that.width() > 790) {
            $that.wrap('<div class="table-responsive"></div>');
        }
    });
}();
!function(){      require('wiki-common:widget/component/psLink/psLink');
    }();</script>
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  var Hunter = window.Hunter || {};
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